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Marytza Rios Gonzalez
Pediatric Dentist in San Diego, California
NPI 1669005872

Marytza Rios Gonzalez is a Pediatric Dentist based in San Diego, CA and is specialized in Pediatric Dentistry. Marytza Rios Gonzalez practices in San Diego, CA. The NPI Number for Marytza Rios Gonzalez is 1669005872 and holds a License No. (California).

The current practice location address for Marytza Rios Gonzalez is 8110 Birmingham Way Bldg 282Nd, San Diego, CA and can be reached out via phone at 619-205-1950.

Location: 8110 Birmingham Way Bldg 282Nd, San Diego, CA, 92123-4223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669005872
Provider Name
Marytza Rios Gonzalez
Credential
Provider Entity Type
Individual
Gender
Female
Address
8110 Birmingham Way Bldg 282Nd, San Diego, CA, 92123-4223
Phone Number
619-205-1950
Fax Number
Provider Enumeration Date
02/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8110 Birmingham Way Bldg 282Nd
City
San Diego
State
California
Zip
92123-2758
Phone Number
619-205-1950
Fax Number
person
Provider Business Mailing Address Details
Address
8110 Birmingham Way Bldg 282Nd
City
San Diego
State
California
Zip
92123-2758
Phone Number
619-205-1950
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D011242 (Arizona)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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